Individual
DR. LAURA J VON DOENHOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1415 PORTLAND AVE, SUITE 555, ROCHESTER, NY 14621-3039
(585) 336-5050
(585) 336-5051
Mailing address
1415 PORTLAND AVE, SUITE 555, ROCHESTER, NY 14621-3039
(585) 336-5050
(585) 336-5051
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
131660
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00616633
—
NY
01
—
0732
EXCELLUS
NY
01
—
315769
WELLCARE
NY
01
—
5309317
AETNA
NY
01
—
MD4G96
PREFERRED CARE PIN
NY
01
—
P010131660
BLUE CHOICE PIN
NY
01
—
RB5158
MEDICARE PTAN
NY
Enumeration date
05/11/2006
Last updated
01/04/2015
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